Treatment of Aggressive Behavior and Post-Traumatic Stress Disorder

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details. Identifier: NCT01519193
Recruitment Status : Completed
First Posted : January 26, 2012
Last Update Posted : November 7, 2012
Information provided by (Responsible Party):
Anselm Crombach, University of Konstanz

Brief Summary:
Street children and children of vulnerable families in conflict or former conflict regions are often exposed to multiple traumatic events and situations in which they are forced to engage in violent behavior. The Narrative Exposure Therapy for violent offenders (NETvo) aims to reduce both PTSD symptoms and aggressive behavior. It helps the children to anchor fearful experiences and positive emotions linked to violent behaviour in the past. Additionally, visions for the future are developed in order to foster successful reintegration into society.

Condition or disease Intervention/treatment Phase
Aggressive Behavior Post-Traumatic Stress Disorder Behavioral: Narrative Exposure Therapy for violent offenders (NETvo) Phase 2

Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 42 participants
Allocation: Randomized
Intervention Model: Single Group Assignment
Masking: Single (Outcomes Assessor)
Primary Purpose: Treatment
Official Title: Treatment of Aggressive Behavior and Post-Traumatic Stress Disorder in Former Street Children and Vulnerable Children in Burundi With Narrative Exposure Therapy for Violent Offenders
Study Start Date : January 2011
Actual Primary Completion Date : May 2012
Actual Study Completion Date : May 2012

Resource links provided by the National Library of Medicine

U.S. FDA Resources

Arm Intervention/treatment
Experimental: Narrative Exposure Therapy Behavioral: Narrative Exposure Therapy for violent offenders (NETvo)
During NETvo the client, with the assistance of the therapist, constructs a chronological narrative of his whole life with a focus on exposure to traumatic stress and also on perpetrated violent acts. Empathic understanding, active listening, congruency and unconditional positive regard are key components of the therapist's behavior who asks in detail for emotions, cognitions, sensory information, and physiological reactions, linking them to an autobiographical context. Positive emotions and cognitions reported for violent acts are linked to the respective past. During four sessions the most important traumatic experiences and perpetrated violent acts are processed. In the fifth session plans and ideas for the future are developed to assist the children to reintegrate themselves into society.
No Intervention: No treatment control

Primary Outcome Measures :
  1. Positive emotions linked to aggressive behavior via the AAS-CS (Appetitive Aggressions Scale for children and students) [ Time Frame: 6 months ]
  2. Load of traumatic symptoms measured via the UCLA Adolescent PTSD Index (Clinician-administered PTSD scale) [ Time Frame: 6 months ]

Secondary Outcome Measures :
  1. Load of depressive symptoms measured via the MINI-KID [ Time Frame: 6 months ]
  2. Strength of suicidal ideation measured via the MINI-KID [ Time Frame: 6 months ]
  3. Functionality measured via the CGAS (Children's Global Assessment Scale) and SDQ (Strengths and Difficulties Questionnaire) [ Time Frame: 6 months ]

Information from the National Library of Medicine

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Ages Eligible for Study:   12 Years to 23 Years   (Child, Adult)
Sexes Eligible for Study:   Male
Accepts Healthy Volunteers:   No

Inclusion Criteria:

  • Positive Emotions concerning aggressive behavior derived from expert interviews with higher Scores of the Appetitive Aggression Scale (AAS)
  • children are part of an aid program for reintegration into society

Exclusion Criteria:

  • current substance dependance or use of antipsychotic drugs
  • chronically ill children

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its identifier (NCT number): NCT01519193

Fondation Stamm
Bujumbura, Burundi
Sponsors and Collaborators
University of Konstanz
Principal Investigator: Anselm Crombach, Dipl.-Psych. University of Constance

Responsible Party: Anselm Crombach, Principal Investigator, University of Konstanz Identifier: NCT01519193     History of Changes
Other Study ID Numbers: UKCR2011
First Posted: January 26, 2012    Key Record Dates
Last Update Posted: November 7, 2012
Last Verified: November 2012

Keywords provided by Anselm Crombach, University of Konstanz:
Aggressive Behavior
Appetitive Aggression
Post-Traumatic Stress Disorder

Additional relevant MeSH terms:
Stress Disorders, Traumatic
Stress Disorders, Post-Traumatic
Pathologic Processes
Trauma and Stressor Related Disorders
Mental Disorders
Behavioral Symptoms